<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="initial-scale=1.0, maximum-scale=1, user-scalable=no">
    <link rel="stylesheet" href="./css/reset.css">
    <link rel="stylesheet" href="./layui/css/layui.css">
    <link rel="stylesheet" href="./css/color.css">
    <link rel="stylesheet" href="./css/wtlCounerMt.css">
    <title>wtl认筹</title>
</head>
<body>
    <!--海报图-->
    <img class="l-banner" src="./image/rc_m.png" alt="无法显示">

    <!--表单-->
    <form class="layui-form l-form" action="">
        <div class="layui-form-item l-form-row">
            <p class="l-label-name">认筹类型：</p>
            <select id="memberSelect" name="city" lay-verify="required">
                <option value="WTL">WTL</option>
            </select>
        </div>

        <div class="layui-form-item">
            <p class="l-label-name">认筹数额：</p>
            <div class="l-row">
                <div class="l-column">
                    <span class="l-color-gray">WTL数额</span>
                    <input  type="text" name="wtl"  required value="ssss"  lay-verify="required" placeholder="请输入WTL数额" class="layui-input">
                </div>
                <div  class="l-column">
                    <span class="l-color-gray l-padding-right-10">USDT数额</span>
                    <input type="text" name="usdt"  required value="ssss"  lay-verify="required" class="layui-input" placeholder="请输入USDT数额">
                </div>
            </div>
        </div>

        <div class="layui-form-item">
            <p class="l-label-name">USDT官方指定转入地址：</p>
            <input type="text" name="title" required  lay-verify="required" placeholder="请输入USDT转出地址" autocomplete="off" class="layui-input">
        </div>
        <div class="layui-form-item">
            <p class="l-label-name">用户名：</p>
            <input type="text" name="title" required  lay-verify="required" placeholder="请输入用户名" autocomplete="off" class="layui-input">
        </div>

        <div class="layui-form-item">
            <p class="l-label-name">注册手机号：</p>
            <input type="text" name="title" required  lay-verify="required|phone" placeholder="请输入注册手机号码" autocomplete="off" class="layui-input">
        </div>

        <div class="layui-form-item">
            <p class="l-label-name">引荐者用户名：</p>
            <input type="text" name="name" required  lay-verify="required" placeholder="请输入用户名" autocomplete="off" class="layui-input">
        </div>

        <div class="layui-form-item">
            <p class="l-label-name">引荐者手机号：</p>
            <input type="text" name="title" required  lay-verify="required|phone" placeholder="请输入引导者手机号码" autocomplete="off" class="layui-input">
        </div>

        <!--<div class="layui-form-item">-->
            <!--<p class="l-label-name">ETH官方指定转入地址：</p>-->
            <!--<input type="text" name="title" disabled required  value="sss" lay-verify="required" placeholder="请输入ETH官方指定转入地址" autocomplete="off" class="layui-input">-->
        <!--</div>-->

        <div class="layui-form-item">
            <p class="l-label-name">USDT转出地址：</p>
            <input type="text" name="title" required  lay-verify="required" placeholder="请输入USDT转出地址" autocomplete="off" class="layui-input">
        </div>

        <!--<div class="layui-form-item">-->
            <!--<p class="l-label-name">ETH转出地址：</p>-->
            <!--<input type="text" name="title" required  lay-verify="required" placeholder="请输入ETH转出地址" autocomplete="off" class="layui-input">-->
        <!--</div>-->

        <button class="layui-btn l-btn-submit" lay-submit lay-filter="formDemo">立即提交</button>
    </form>
</body>
<script src="./layui/layui.js"></script>
<script src="js/wtlCountermt.js"></script>
</html>